RAUL HEREDIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040040

License Status

NOT RENEWED

Business

First Name

RAUL

Last Name

HEREDIA

Suffix

Business Name

RAUL HEREDIA MD

Original Issue Date

08/20/1965

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017